TNCC Burn Management 2

Question 1

A burn patient arrives with singed nasal hairs, hoarseness, and carbonaceous sputum. What is the priority intervention?

Accepted Answer

Prepare for immediate endotracheal intubation

Answer

Administer high-flow oxygen via non-rebreather mask

Answer

Obtain IV access and begin fluid resuscitation

Answer

Apply cool water to facial burns

Question 2

Using the Parkland formula, how much lactated Ringer's should be given in the first 8 hours to a 70 kg patient with 40% TBSA burns?

Accepted Answer

5,600 mL

Answer

2,800 mL

Answer

11,200 mL

Answer

4,480 mL

Question 3

Which burn depth classification is characterized by blisters, moist wound surface, extreme pain, and blanching with pressure?

Accepted Answer

Superficial partial-thickness (second-degree)

Answer

Superficial (first-degree)

Answer

Deep partial-thickness (second-degree)

Answer

Full-thickness (third-degree)

Question 4

A patient with circumferential full-thickness burns to the right arm has absent radial pulse and paresthesias. The priority intervention is:

Accepted Answer

Emergent escharotomy

Answer

Elevation of the extremity above heart level

Answer

Fasciotomy of the forearm

Answer

IV heparin to prevent thrombosis

Question 5

Carbon monoxide poisoning should be suspected in a burn patient found in an enclosed space. Which finding is most consistent with CO poisoning?

Accepted Answer

Normal SpO2 with altered mental status

Answer

Cyanosis and low SpO2 on pulse oximetry

Answer

Bradycardia and hypotension

Answer

Cherry-red skin and elevated SpO2

Question 6

When calculating TBSA in an adult using the Rule of Nines, which value is assigned to the entire head and neck?

Accepted Answer

9%

Answer

18%

Answer

4.5%

Answer

1%

Question 7

Which type of burn is most likely to cause deep tissue injury with minimal external skin findings and poses risk of myoglobinuria?

Accepted Answer

Electrical burn

Answer

Chemical burn

Answer

Radiation burn

Answer

Scald burn